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FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM MAY 1 i 2001 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME BRENT DEMEERLEER Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 605 WEST THIRD STREET (PHASE II MINI-STORAGE UNITS) Company NAIC Number CITY STATE ZIP CODE MOSCOW, IDAHO 83843 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM:" SOURCE: I_I GPS (Type): I_I NAD 1927 I_I NAD 1983 I_J USGS Quad Map I_I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. Expires July 31, 2002 B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) [PHONE REDACTED] c AUGUST 17, 1982 A6 2560.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile I j FIRM I I Community Determined I I Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: I X I NGVD 1929 I I NAVD 1988 I I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [ I Yes I I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1 F i n i s h e d C o n s t r u c t i o n see C1, Building elevations are based on; I j Construction Drawings* I I Building Under Construction1 *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum CITY Conversion/Comments CITY BM Elevation reference mark used o a) Top of bottom floor (including basement or enclosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building o f) Lowest adjacent grade (LAG) o g) Highest adjacent grade (HAG) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade o i) Total area of all permanent openings (flood vents) in C3h Does the elevation reference mark used appear on the FIRM? 2562 . 2561 2561 ft.(m) ft.(m) ft.(m) ft.(m) ft.(m) ft.(m) ft.(m) sq. in.(sq. cm) Yes I m CLONAL % m % oj at & Cf 95 O Q a. E c LU ra £7 6 £ Cd Z> C Z .9 \o OF m LOM SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME JEFF C. LOOMIS LICENSE NUMBER 7986 TITLE PROFESSIONAL ENGINEER COMPANY NAME HODGE & ASSOCIATES, INC. ADDRESS PO BOX 8728 CITY MOSCOW STATE IDAHO ZIP CODE 83843 SIGNATURE DATE 5/11/01 TELEPHONE (208) 882-3520 FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS